In view of the existing problems and reasons in the management of small and medium-sized rivers in China, the countermeasures of river ecological management and restoration are put forward: to strengthen the application of ecological technology and change the highly fragmented and segmentary system for small and medium-sized rivers management; to introduce market competition mechanism, and make scientific long-term assessment way; to classify and implement policies to improve the efficiency of work and fund utilization; to strictly investigate and punish illegal encroachment on river, wetlands and waterfront areas; to attach importance to the pollution of river channels caused by household waste and pig breeding; to promote the reduction of pollutants in water bodies; to reduce water consumption, etc.